Source One Pharmacy Services Llc
LBN: Source One Pharmacy Services Llc
Source One Pharmacy Services Llc is an health care organization with primary practice located at 1140 Mcdermott Dr Ste 104 Suite 104, West Chester PA 19380-4043. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty.
Source One Pharmacy Services Llc can be contacted via phone (610) 696-3100, or through Pippis, Constantine Nicholas via phone (610) 696-3100.
Contact Information
Primary practice address
1140 Mcdermott Dr Ste 104 Suite 104
West Chester PA 19380-4043
Phone: (610) 696-3100
Fax: (610) 696-7100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1376727495 |
|---|---|
| LBN Legal business name | Source One Pharmacy Services Llc |
| DBA Doing business as | |
| Authorized official | Pippis, Constantine Nicholas RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 26th, 2007 |
| Last updated | Oct 2nd, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376727495 | NPPES |
| New York | MEDICAID | 04172987 | |
| New York | MEDICAID | 1376727495 | |
| New York | Other | 2082394 | |
| New York | MEDICAID | 0187470 | |
| New York | MEDICAID | 1021341960002 | |
| New York | MEDICAID | 535302500 |
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